Individual
PATTY J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
700 HARP AVE, VOLO, IL 60073-5931
(847) 341-4653
Mailing address
700 HARP AVE, VOLO, IL 60073-5931
(847) 341-4653
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160002239
IL
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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